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Insulin:

I.What is Insulin?

Insulin is an important hormone produced naturally by beta cells of pancreas in our body.This hormone is very important in metabolism of glucose. It’s deficiency or defective action or both which cause diabetes.

I.             Is there any ways of increasing Insulin production in Diabetes?

Drugs like sulfonylureas will increase Insulin production to some extent. Physical activity, Exercise and drugs like glitazones will make available Insulin in the body to act more efficiently.

III. When do patients of Diabetes have to take Insulin?

a) All patients of type 1 Diabetes. 
b) All Diabetic women when they are pregnant and lactating. 
c) In type 2 Diabetes when oral tablets are not efficiently controlling blood sugars. d) During medical emergencies like Diabetic keto acidosis, Infections and surgery.

IV. Is Insulin once started has to be taken life long?

Treatment for Diabetes is lifelong. If sugars are not controlled with oral tablets then it is called oral drug failure. In such situations Insulin as to be taken continuously. If Insulin is started temporally during pregnancy or Infection or keto acidosis later it can be stopped.

V. If Insulin taken for long time will cause damage to my health?

This is not true. In fact if sugars are not controlled well, will cause damage to vital organs like kidney, heart, eyes. Taking Insulin and controlling sugars can prevent these problems.

VI. Insulin injections are painful, Are insulin tablets available?

Earlier injections used to be very painful. Now with the advance of technology very fine needles are available, which will not cause pain. If insulin is given orally it will be destroyed in the stomach. Any how at present production of oral insulin preparations is in the experimental stages and is not commercially available.

VII. My relative has diabetes for many years, but he is not taking insulin. I have diabetes     only for few years why I should take Insulin?

Each patient is different. Each patient responds differently to drugs. There are many factors which influence oral drug failure. Hence insulin when prescribed by your doctor should be taken.

VIII. Is it possible if I take Insulin injection once a day?

Majority of insulin’s available have to be taken more than once per day. But now newer insulin preparations called long acting analogs, which can be taken once a day are available, but are expensive.

IX. Is Hypoglycemia more with insulin?

Patient on treatment either with tablets or insulin can experience Hypoglycemia. Sometimes during their treatment these episodes are not more with insulin.

X. Who will give me insulin injection?

You should not depend on doctors /nurses or any other person! Always try to be self reliant. You can learn self injections at any age. Once you start taking insulin you will realize how simple it is. These injections can be taken over abdomen, around outer aspects of thigh and upper aspect of arm, exact location and technique will be shown when we prescribe Insulin diagram of sites teach you Insulin administration.

XI. Once I am on insulin, is it necessary to take tablets also.

Yes. Sometime you have to take tablets also along with insulin. These tablets will improve the action of insulin given.


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